MEDICARE: MS. SUSAN L LESSER MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC301909	DC

General Provider Information

NPI Number	:	1396848826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN L LESSER MSW

Provider Business Mailing Address
First Line	:	3001 VEAZEY TER NW
Second Line	:	APT. 1111
City	:	WASHINGTON
State	:	DC
Zip	:	20008-5406
Country	:	US
Telephone Number	:	202-363-2558
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 17TH ST NW
Second Line	:	#1010
City	:	WASHINGTON
State	:	DC
Zip	:	20006-2601
Country	:	US
Telephone Number	:	202-429-9119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	07/08/2007

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